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WELLSPAN MEDICAL GROUP NPI 1104988740


NPI Information

NPI: 1104988740
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN CARDIOTHORACIC SURGERY

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
30 MONUMENT ROAD
SUITE 1100
YORK, PA
ZIP 17403
Phone: (717) 851-6454
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WELLSPAN MEDICAL GROUP is a thoracic surgery cardiothoracic vascular surgery in York, PA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. WELLSPAN MEDICAL GROUP NPI is 1104988740. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Cardiothoracic Surgery.

The provider's business location address is:

30 MONUMENT ROAD
SUITE 1100
YORK, PA
ZIP 17403-024
Phone: (717) 851-6454
Fax: (717) 851-1665

The provider's authorized official is Laura Frank .
The authorized official title is Manager-verification Services and has the following contact phone number (717) 851-6832.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 5/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes
2363A00000XPhysician AssistantNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104P5OTHERMARYLANDCAREFIRST MD BCBS-STE 190
2800174OTHERPENNSYLVANIAJOHN HOPKINS
320034217OTHERPENNSYLVANIAAMERIHEALTH MERCY
4CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
51007721360246MEDICAIDPENNSYLVANIA
62305610000OTHERPENNSYLVANIAAMERIHEALTH 65PA
77619892OTHERPENNSYLVANIAAETNA
81007721360105MEDICAIDPENNSYLVANIA
91628553OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
10401065514MEDICAIDMARYLAND
111536225OTHERPENNSYLVANIAGATEWAY
12=========OTHERPENNSYLVANIATRICARE WASHINGTON ST
13KC94OTHERMARYLANDCAREFIRST BCBS
14344TOTHERPENNSYLVANIAGEISINGER
1550039030OTHERPENNSYLVANIACAPITAL BLUE CROSS
16=========OTHERPENNSYLVANIATRICARE BANNISTER ST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.